Date : 00.00.00
Name of the Patient : Abc Xyz Hlmn / F / 50 yrs.
Referred by : Dr. Abc Xyzni.
Examination : M.R.I. of the Lumbo-sacral Spine.
CLINICAL PROFILE :
C/O backache with paresthesias in BLE since 1 year.
M.R.I of the lumbo-sacral spine was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted sagittal images.
5 mm thick T1 Weighted and T2 Weighted axial images.
There appears to be sacralization of the L5 vertebra and the L1 vertebra is as marked on the film. Please correlate with plain radiographs.
Mild posterior disc bulges are seen at the L3-L4 and L4-L5 levels. Bilateral far lateral (extraforaminal) disc bulges are also noted at these levels.
The L4-L5 facet joints show mild degenerative changes.
There is loss of water content of the L1-L2 to L4-L5 intervertebral discs. A well-defined area of hyperintensity on all the pulse sequences is noted within the D12 vertebral body, posteriorly and this may represent a hemangioma with high fat content.
Type II degenerative changes are noted within the L4 and L5 vertebral bodies adjacent to the L4-L5 intervertebral disc.
The rest of the lumbar vertebral bodies and the remaining intervertebral discs reveal normal signal intensity. The rest of the facet joints and the visualized pre and paravertebral soft tissues are unremarkable.
The conus medullaris terminates at the L1 level and the thecal sac terminates at the S1 level.
The antero-posterior dimensions of the lumbar canal at the level of the intervertebral discs are as follows :
19.0 mm at L1-L2
18.0 mm at L2-L3
18.0 mm at L3-L4
16.0 mm at L4-L5
13.0 mm at L5-S1.
1. Sacralization of the L5 vertebra. Please correlate with plain radiographs.
2. Mild posterior disc bulges at the L3-L4 and L4-L5 levels.
3. Bilateral far lateral (extraforaminal) disc bulges at the L3-L4 and L4-l5 levels.
4. Mild facetal arthropathy at the L4-L5 level.